Active NPI
Muhammad Azfar Shakeel, M.D.
- Hospitalist Physician
- Mission Viejo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- C55760
- Practice address
- 26800 Crown Valley Pkwy
Suite 315
Mission Viejo, CA 92691-6384 - Phone
- (949) 364-6000
- Fax
- (949) 364-1204
- NPI assigned
- Jul 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 41006 | KY | |
| Hospitalist Physician | 208M00000X | C55760 | CA | Primary |
Addresses
Primary practice location
26800 Crown Valley Pkwy
Suite 315
Mission Viejo, CA 92691-6384
Mailing address
26522 La Alameda
Suite 120
Mission Viejo, CA 92691-6330
Phone (949) 282-1671
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100015220 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mshakeel1374031@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350
27700 Medical Ctr Rd
Mission Viejo, CA 92691-6426
Phone (949) 364-1400
Hospital & facility affiliations
- Royal Home Health Services
- Providence Mission Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Family Medicine | Current | Accepting new patients |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Family Medicine | Current | Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841
1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835
100 E Valencia Mesa Dr
#1051182
Fullerton, CA 92835
Phone (714) 446-5200
100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200
26800 Crown Valley Pkwy
Ste 545
Mission Viejo, CA 92691
Phone (949) 364-1040
26800 Crown Valley Pkwy
Ste 315
Mission Viejo, CA 92691
Phone (949) 364-6001
26522 La Alameda
Ste 120
Mission Viejo, CA 92691
Phone (949) 282-1671
27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744
26800 Crown Valley Pkwy
Ste 305
Mission Viejo, CA 92691
Phone (949) 364-6001
26800 Crown Valley Pkwy
Ste 300
Mission Viejo, CA 92691
Interoperability endpoints
- mshakeel1374031@oc.providencedirect.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1912108002
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1992752315
-
- Home Health Agency
- Mission Viejo, CA
- NPI 1427375534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1851581003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26522 LA ALAMEDA",
"address_2": "SUITE 120",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916330",
"telephone_number": "949-282-1671",
"fax_number": "949-367-0518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26800 CROWN VALLEY PKWY",
"address_2": "SUITE 315",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916384",
"telephone_number": "949-364-6000",
"fax_number": "949-364-1204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAKEEL",
"first_name": "MUHAMMAD",
"middle_name": "AZFAR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-25",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "41006",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "C55760",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100015220",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mshakeel1374031@oc.providencedirect.org",
"affiliation": "N",
"address_1": "26800 Crown Valley Pkwy",
"address_2": "SUITE 315",
"city": "Mission Viejo",
"state": "CA",
"country_code": "US",
"postal_code": "926916384",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.